I-Spondylolysis kunye ne-Spondylolisthesis: Ziyintoni kunye nendlela yokuNyanga

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• Nini kunye nendlela yokwenza i-physiotherapy

I-Spondylolysis yimeko apho kukho ukwaphuka okuncinci kwe-vertebra emqolo, enokuthi ibe ye-asymptomatic okanye inyuse i-spondylolisthesis, kulapho i-vertebra 'ityibilika' ngasemva, ikhubaza umqolo, ikwazi ukucofa kwimithambo-luvo kubangela iimpawu ezinjengeentlungu zangasemva kunye nobunzima bokuhamba.

Le meko ayifani ncam ne-disc ye-herniated, kuba kwi-hernia kuphela i-disc echaphazelekayo, icinezelwe. Kule meko, enye (okanye ngaphezulu) yomqolo we-vertebrae 'islayida ngasemva', ngenxa yokuqhekeka kwe-vertebral pedicle kwaye kungekudala emva koko idiski ye-intervertebral ikwahamba nale ntshukumo, ibuyela umva, ibangela iintlungu zangasemva kunye nokuqaqamba. Nangona kunjalo, kwezinye iimeko kunokwenzeka ukuba ube ne-spondylolisthesis kunye nediski ye-herniated ngaxeshanye.

I-Spondylolysis kunye ne-spondylolisthesis zixhaphake kakhulu kwimimandla yomlomo wesibeleko kunye ne-lumbar, kodwa zinokuchaphazela nomqolo we-thoracic. Ukunyanga okuqinisekileyo kunokufezekiswa ngotyando olubeka umhlana kwindawo yalo yoqobo, kodwa unyango ngamachiza kunye nonyango lomzimba lunokwanela ukunciphisa iintlungu.

Iimpawu eziphambili kunye neempawu

I-Spondylolysis yinqanaba lokuqala lokulimala komgogodla kwaye, ke, akunakuvelisa zimpawu, ukufunyanwa ngengozi xa kusenziwa uviwo lwe-X-ray okanye itomografi yomqolo, umzekelo.

Xa kwenziwa i-spondylolisthesis, imeko iba mbi ngakumbi kwaye iimpawu ezinje:

• Intlungu ebuhlungu emva, kwindawo echaphazelekayo: emazantsi omqolo okanye entanyeni;
• Kunzima ukwenza intshukumo, kubandakanya ukuhamba kunye nokwenza umthambo;
• Iintlungu ezisezantsi ezinomqolo zinokuphuma ziye emqolo okanye emilenzeni, zibonakaliswe njenge-sciatica;
• Ukuzivavanya ezingalweni, kwimeko ye-spondylolisthesis yomlomo wesibeleko kunye nasemilenzeni, kwimeko ye-lumbar spondylolisthesis.

Ukuxilongwa kwe-spondylolisthesis kwenziwa nge-MRI ebonisa indawo echanekileyo yediski ye-intervertebral. Ukuxilongwa kuhlala kwenziwa emva kweminyaka engama-48, kwaye abasetyhini ngabona bachaphazelekayo.

Izizathu ezinokubangela

Izizathu eziqhelekileyo ze-spondylolysis kunye ne-spondylolisthesis zi:

• Umqolo ongalunganga: zihlala zilutshintsho kwindawo yomqolo evela ngokuzalwa kwaye iququzelele ukufuduswa kwe-vertebra ngexesha lokufikisa xa usenza ubugcisa okanye isingqi sokuzivocavoca, umzekelo.
• Imivumbo kunye nokwenzakala emqolo: kunokubangela ukuphambuka kwe-vertebrae yomqolo, ngakumbi kwiingozi zendlela;
• Izifo zomqolo okanye amathambo: Izifo ezinjenge-osteoporosis zinokunyusa umngcipheko wokufuduswa kwe-vertebra, imeko eqhelekileyo yokuguga.

Zombini i-spondylolysis kunye ne-spondylolisthesis zixhaphake kakhulu kwimimandla ye-lumbar kunye nomlomo wesibeleko, ebangela iintlungu emqolo okanye entanyeni, ngokwahlukeneyo. I-Spondylolisthesis inokukhubaza xa kunzima kwaye unyango aluzisi intlungu elindelekileyo, kwimeko apho umntu kufuneka athathe umhlalaphantsi.

Unyango lwenziwa njani

Unyango lwe-spondylolysis okanye i-spondylolisthesis iyahluka ngokobuninzi beempawu kunye nenqanaba lokufuduswa kwe-vertebra, enokwahluka ukusuka ku-1 kuye ku-4, kwaye inokwenziwa ngamachiza alwa nokudumba, izihlunu zokuphumla okanye iintlungu, kodwa ikwanjalo Kuyimfuneko ukwenza i-acupuncture kunye ne-physiotherapy, kwaye xa kungekho nanye kwezi ndlela inokwanela ukulawula iintlungu, utyando luyaboniswa. Ukusetyenziswa kwevest kwakusetyenziswa ngaphambili, kodwa akusaphakanyiswa oogqirha.

Kwimeko ye-spondylolysis kunokucetyiswa ukuba uthathe iParacetamol, esebenzayo ekulawuleni iintlungu. Kwimeko ye-spondylolisthesis, xa ukuphambuka kukwinqanaba loku-1 okanye lesi-2 kuphela, kwaye, ke, unyango lwenziwa kuphela nge:

• Ukusetyenziswa kwamayeza okulwa nokudumba, ezinje ngeIbuprofen okanye iNaproxen: ukunciphisa ukudumba kweediski zomqolo, ukuthomalalisa iintlungu kunye nokuphazamiseka.
• Inaliti yeCorticosteroid, ezinje ngeDexa-citoneurin okanye iHydrocortisone: zisetyenziswa ngqo kwindawo ye-vertebrae yokufuduswa ukuze ikhawuleze ikhuphe ukudumba. Kufuneka zenziwe phakathi kweedosi ezi-3 ukuya kwezi-5, eziphindaphindwe rhoqo kwiintsuku ezi-5.

Utyando, ukomeleza i-vertebra okanye ukudodobalisa imithambo-luvo, lwenziwa kuphela kwiimeko zebanga lesi-3 okanye lesi-4, apho kungenakwenzeka ukulawula iimpawu kuphela ngamayeza kunye ne-physiotherapy, umzekelo.

Nini kunye nendlela yokwenza i-physiotherapy

Iiseshoni ze-Physiotherapy ze-spondylolysis kunye ne-spondylolisthesis zinceda ukugqiba unyango ngamachiza, ukuvumela ukunciphisa iintlungu ngokukhawuleza kunye nokunciphisa isidingo semithamo ephezulu.

Kwiiseshoni ze-physiotherapy kwenziwa ukonyusa uzinzo lomqolo kunye nokwandisa ukomelela kwezihlunu zesisu, ukunciphisa ukuhamba kwethambo lomqolo, ukuququzelela ukunciphisa ukudumba kwaye, ngenxa yoko, kunciphisa iintlungu.

Izixhobo ze-elektroniki zokuthomalalisa iintlungu, ubuchule bonyango olwenziwayo, ukuzinzisa kwe-lumbar, ukomeleza isisu, ukolula imisipha ye-tibial ebekwe ngasemva kwemilenze. Kwaye i-RPG, ii-Clinical Pilates kunye ne-Hydrokinesiotherapy exercises, umzekelo, isengacetyiswa.